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1. IVF & IUI
CARE-Best IVF treatment in Uttarakhand
By. Dr Sumita Prabhakar

2. IVF(In-Vitro Fertilization)
 IVF is also known as Test Tube Baby process.
 IVF is a process of artificially fertilization of Ovarian
egg.
 Fertilization process takes place outside the mother’s
body.
 This process takes place via Insemination

3. Insemination
 It can be done by two ways:
 Using father sperms
 Using donor sperms.
(As requirement of couple )

4. IVF PROCEDURE
 Evaluation
 Down Regulation
 Ovulation Induction
 Monitoring
 Egg Pickup
 ICSI
 Embryo Transfer
 Embryo Freezing
 Embryo Hatching

5. EVALUATION
 For IVF treatment, couples are advised for certain
investigations.
 Ultrasound, for checking condition of ovaries and uterus.
 Semen analysis and culture for other problems.
 Abnormality test must be carried before IVF procedure.
 Evaluation complete—procedure initiates.

6. DOWN REGULATION
 Process starts on 21st day of month before IVF cycle.
 Blood Investigation for checking LH,FSH and E2
hormones to confirm down regulation.

7. OVULATION INDUCTION
 This process depends on patient’s certain conditions
 Age
 Hormonal problems
 Local protocols
 FSH or HMG injections are given till desired follicles
size.

8. MONITORING
 Cycle is monitored to check growth of eggs and
thickness of endometrium by ultrasound.
 Sometimes estrogen level test is done by blood test.

9. EGG PICKUP
 When egg reached at desired size, an injection is given
for final maturation(HCG).
 Ovum pickup is planned after 35-36 hrs process under
sedation.
 With ultrasound, eggs are extracted from follicles with
the help of fine needle.
 This process takes 20 min.

10. ICSI
 When eggs are retrieved from group of cells, they are
aspirated and after keeping them in incubator they are
ready for fertilization.
 IVF/ICSI fertilization process are decided by
embryologist.
 In case of poor count and motility ICSI is performed.
 TESA/PESA is done for removing sperms from testis.
 Then the embryos are left to grow in the controlled
environment of incubator for 2-5 days.

11. EMBROYO TRANSFER
 Embryologist assess the quality of embryos and
decides about embryo transfer.
 With the help of soft cathedra embryos are placed in
the womb.
 After some rest patient can go home.

12. EMBRYO FREEZING
 Extra embryos are frozen in liquid nitrogen for
preserving them for years.
 Embryos are frozen because the transfer is electively
planned as endrotrium or lining of uterus or patient
has OHSS(ovarian hyper simulation syndrome).

13. EMBROYO HATCHING
 In this, outer lining of embryos is treated with either
laser or with certain chemicals.
 This process is used to make outer lining more sticky
and more adhesive to lining of womb.
 It is effective in older women, in case of failures and
weak lining of womb.

14. IUI(IntraUterine Insemination)
 Most commonly used assisted reproductive technique.
 Safe, cost effective and non invasive method.
 Semen of husband or donor is clinically washed to
improve its fertilization capability and injected into
womb.

15. IUI INDICATIONS
 Cervical factors
 Mild-moderate male sub-fertility
 Unexplained infertility
 Immunological factors
 An-Ovulation
 Endometriosis
 Male anatomical defects
 Psycosexual disorder-erection ejaculation related
problems

16. IUI INDICATIONS
 Genetic, hereditary problems
 Severe sperm defects
 Contraindications
 Several tubal defects
 Severe semen abnormalities
 Pelvic mass or uterine cavity distortion

17. EVALUATION
 Proper timing and proper patient selection of IUI is
essential.
 Detailed clinical history and physical examination of
both partners is required.
 If any abnormalities is suspected evaluation of
hormonal problems are carried out.

18. IUI LAB
 Any center doing IUI must have
 TVS facility
 Semen collection area
 Semen preparation lab with laminar hood, centrifuge
, compound microscope, co2 incubator, CO2
cylinders, semen fertility and storage facility.
 Insemination area

19. SUCCESS RATE
 Based on age of patient and semen varies from 6-28%
 IUI is a very simple and safe procedure but certain
problems may arise:
 Trauma to cervix
 Infection
 Cramps or pain

20. 
Contact Us
Dr. Sumita Prabhakar
CMI Hospital, 54, Haridwar Road, Dehradun.
Uttarakhand, India. PIN:248001
Phone: 0135-6542172, 0135-2520042, 2720142, 2720238
Mob: -
Email: sumitaprabhakar@gmail.com